Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.66 / $257.33 / $350.74	Professional		$210.66	$257.33	$350.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $306.89 / $306.89 / $342.27	Professional		$306.89	$306.89	$342.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Facility		$307.55	$307.55	$307.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.42 / $261.42 / $307.55	Professional		$261.42	$261.42	$307.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.48 / $450.61 / $540.73	Professional		$350.48	$450.61	$540.73
United Facility/Professional Professional Modifier Low / Median / High Price $175.91 / $249.79 / $396.11	Professional		$175.91	$249.79	$396.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $319.52 / $319.52 / $425.58	Professional		$319.52	$319.52	$425.58